A patient who takes high-dose aspirin to treat arthritis will need to take prednisone to treat an acute flare of symptoms. What action will the nurse perform?
a. Observe the patient for hypoglycemia.
b. Monitor closely for increased urine output.
c. Observe the patient for hypotension.
d. Request an order for enteric-coated aspirin.
ANS: D
Glucocorticoids can increase gastric distress, so an enteric-coated aspirin product is indicated. Glucocorticoids increase the risk of hypoglycemia, fluid retention, and hypertension.
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A patient who is planning to become pregnant asks the nurse to explain if genetics can influence the transmission of mental illness. How might the nurse respond?
1. Genetics have no influence on mental illness. 2. Genes are only involved in organic mental disorders. 3. Genes may influence many aspects of mental health disorders. 4. Environmental influences are completely responsible for mental illness.
As a nurse manager, you have been asked to assist in designing a subacute facility for open heart patients who require further complex care after hospitalization. In setting up the facility, which of the following would require reassessment?
a. Patients admitted to the facility must have adequate health insurance to cover the services provided. b. A local nurse education program asks you if nursing students can gain clinical expe-rience with recovering surgical patients in the facility. c. Public funding will be provided to enable care of patients who have an ordinary course of recovery. d. The facility is an older house that is more than 30 minutes away from the acute care center.
The nurse, assessing pain in a client receiving hospice care, uses the ABCDE model to guide pain management. Which of the following is a part of this pain management approach? (Select all that apply.)
1. Ask about the pain regularly. 2. Believe the patient and family in their reports of pain. 3. Confront the patient if you believe pain control was not achieved. 4. Deliver interventions only when requested. 5. Enable the patient to control her course of pain management to the greatest extent possible. 6. Utilize complementary alternative medicine approaches first.
List five observations the nursing assistant should watch for in the patient who has undergone thyroid surgery.
What will be an ideal response?